Our expert says:
A careful investigation of both the male (semen analysis) and the gynaecological system need to be undertaken. This includes not only hormonal evaluation but also anatomical investigation to rule out any uterine or tubal factors. Should all these investigation be within the norm then simple ovulation induction may be all that is necessary together with careful ovulation monitoring and timed intercourse. The possibility of endometriosis should also be considered and it may be necessary to perform a diagnostic laparoscopy to rule out this entity.
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